On the morning of October 3rd, 65438/KLOC-0, Qian, director of emergency medicine department of Yueyang Hospital, directed the rescue in the rescue room. After a 65-year-old man was infected with COVID-19 virus, the old problem of chronic obstructive pulmonary disease was aggravated.
In the emergency room, the medical staff have been busy as a bee. Most of the medical staff involved in the rescue are "Yang" kang returning to their posts or taking "Yang" to their posts, but at this critical moment of racing against death, no one is left out. After several hours of full rescue, the patient's vital signs are stable at present.
With the increasing number of infected people in COVID-19, Shanghai medical institutions are facing severe challenges. In Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine, a group of medical staff overcame many difficulties and fought day and night in the front line of treatment.
The emergency department receives about 1 1,000 person-times every day, and a critical care group is established.
According to the data, up to now, the number of outpatient and emergency services in Yueyang Hospital is about 1000 person-times/day, and the number of ambulances is 80- 100. This has become a "battlefield".
At present, statistics show that the average daily emergency volume of Yueyang Hospital is about 1000 person-times. All the pictures in this article are provided by the hospital.
1Late at night on October 2, a patient with epigastric pain came to the emergency department of Yueyang Hospital. 73-year-old Xu Laobo looked cold, pale and broke out in a cold sweat. His blood pressure is only 80/50 mm Hg. When he arrived at the emergency department, he had symptoms of shock such as hypotension. CT examination improves gastrointestinal perforation.
At this moment, Sun Jiuyun, deputy chief physician of general surgery, is the second day of "yang" and still has symptoms of fever, nausea and vomiting, but he still sticks to his post. After checking, Li Laobo vomited again.
"The patient is in an emergency, it is important to save people, and prepare for surgery immediately!" Sun Jiuyun immediately contacted the anesthesia operating room. After improving the preparations for various emergency operations, Xu Laobo was escorted into the operating room for the first time. Sun Jiuyun, who was still feverish, quickly adjusted his state and raced against time to successfully repair Li Laobo's stomach perforation. As soon as the operation was over, Sun Jiuyun, who just got off the operating table, vomited again.
Since the beginning of this epidemic, Yueyang Hospital immediately set up a special class for emergency treatment of severe cases and an expert group for medical treatment of severe infections in COVID-19. The Medical Department, together with the Nursing Department and the Emergency Medicine Department, co-ordinate hospital medical resources, hospital beds, medicines and equipment resources, treat emergency patients in an orderly manner, and ensure the efficient transport of critical patients in emergency, fever clinic and ward building.
The expert group conducts rounds of ward buildings every day and discusses critical cases to ensure that rounds, discussions and treatment of critical patients in each ward building go smoothly. The emergency medicine department combined with dermatologists, gynecologists, ENT doctors, ophthalmologists and other clinicians to form a mixed group to set up the second emergency ward to treat emergency critical patients.
Medical staff are treating patients in COVID-19.
"120 will arrive immediately, ready for rescue" "Patient's oxygen saturation is low, cooperate with intubation" "Open venous access quickly!" "Send this patient to do CT" Luo Qing, deputy head nurse of emergency medicine department, came to the emergency hall less than 7 o'clock every day and was busy until late at night. She is like a "lobby manager", ensuring the green passage is unobstructed, rescuing critically ill patients, arranging patients for medical examination, and maintaining first aid order. She screams every day and basically has no time for lunch.
"At present, the number of emergency patients is still increasing, and everyone is psychologically prepared. Almost all the doctors and nurses in our emergency department are still sticking to their posts. The workload is too heavy, and some colleagues have symptoms of viral pneumonia and have to rest. " After Cao, the head nurse, came back from other provinces, she immediately went to the hospital to take part in the battle. "But all my colleagues in the hospital are here to support our emergency treatment. I believe that we can spend this difficult time together. "
Fever clinic: 400 to 500 people see a doctor every day, and most patients have basic diseases.
Yang Chen is a doctor in the emergency department of Yueyang Hospital. Since March 2022, I have been working in fever clinic and infection ward. Recently, Yueyang Hospital fever clinic sees 400-500 people every day. In the most demanding days, Yang Chen worked intensively for five consecutive days, with working hours ranging from 14 to 17 hours every day until the first batch of "Yang Kang" colleagues returned to their posts. After a short nap, he went back to work.
"Most elderly patients in the observation ward of fever clinic are accompanied by obvious basic diseases, such as cerebral infarction, heart failure, respiratory failure and epilepsy. The patient is seriously ill, so he can't take care of himself and his family can't accompany him. The pressure and difficulty of nursing work are very great. " Since the outbreak of the epidemic in 2020, Nurse Zhu has been quietly sticking to the "outpost" of the fever clinic, and her colleagues are guarding every patient with excellent nursing skills and a high sense of responsibility.
Lu Jiajia, the attending physician of pediatric fever clinic in Yueyang Hospital, insisted on fever clinic for 48 hours in the most difficult time. "My colleagues are all' Yang'. Their symptoms are heavier than mine, but a little better, and they will all come back soon. "
Zhang Wanping, a pre-examination nurse in the pediatric clinic, took the initiative to help the emergency department during the lunch break at noon. "The emergency department now has a huge workload and is obliged to help."
In the emergency room of Yueyang Hospital, medical staff are helping patients with infusion treatment.
Anesthesiology, laboratory and other departments provide medical support for the first-line treatment in COVID-19.
"Ding, Ding" On the last day of 2022, anesthesiologist Zhu Ping received a call from the emergency room at 8 am: "Anesthesiology, quick, emergency room intubation!" The transformation of the new year began with a busy rescue.
On this day, Zhu Ping and his colleagues completed 1 1 operation, 5 cases of emergency tracheal intubation, 8 cases of deep vein puncture, and also supported the fever clinic. In this special period, anesthesiologists rushed from behind the scenes to the front line of treating critically ill patients.
Zhu Ping said that they have always believed that doctors' efforts can help patients recover and return to normal life as soon as possible.
Xu _, Director of Emergency Department of Yueyang Hospital. During the three years of the epidemic, he always rushed to the front line, and the days of going home were almost counted with his fingers. For details, please refer to "24-hour nucleic acid sampling point in Shanghai First Hospital", normalized nucleic acid sampling point, reconstruction and improvement of service capacity of fever clinic and emergency department. Since the current epidemic, many laboratory workers have insisted on getting sick or just getting better, so they went into battle in disguise. Xu _ hasn't been home for nearly a month.
On the basis of the national plan, Yueyang Hospital also actively uses Yueyang characteristic epidemic prevention preparations such as Jinju Qingrun Granules and Jinqi Qingshu Granules for treatment. Doctors in massage department, acupuncture department, dermatology department, pain department, preventive treatment center and other departments will enrich the clinical diagnosis and treatment content of emergency and fever clinic for the first time. Rehabilitation therapists go deep into various wards of the hospital to assist doctors and nurses to guide patients and carry out "prone position ventilation" to help patients recover better and faster.